ABSTRACTEmesis gravidarum is a usual complaint that is often experienced by the first trimester pregnant women, and coul develop become hyperemesis gravidarum thus increasing the risk of pregnancy. Ginger is kind of herbs which has been known to prevent nausea vomiting. The study design is Quasi experiment with the control group pre-post test design. The sampling technique using simple random sampling with the sample of 17 the first trimester pregnant women who have emesis gravidarum, both for the experimental group and control group. The average frequency of emesis gravidarum on the experimental group before the given ginger as much as 3,71 times/day decreased to 2,24 times/day, and the results of paired t test showed that there was significant difference before and after the provision of ginger. While average frequency of emesis gravidarum of the control group before being given water and sugar as much as 5,00 times/day to 5,71 times/day and no significant difference before and after the provision of water and sugar in the results of paired t test. Difference in the average frequency of emesis gravidarum after the provision on the experimental group that is 1,47 which means there is a decrease frequency of emesis gravidarum. While in the control group of 0,71 which means there is increased frequency of emesis gravidarum. The results of independent t test showed that there was significant difference decrease in the frequency of emesis gravidarum. Conclusion of this study showed that ginger is effective in lowering emesis gravidarum so that the community can take advantage of ginger as alternative medicine before using drugs antiemetic, and can process the other variants of ginger plant that can be used to lower frequency of emesis gravidarum.Keywords: emesis gravidarum, wedang gingerÂ Â Â

ABSTRACTMaternal Mortality in Malang high increase in 2012 from 90,43 deaths per 100.000 live births to 164,64 deaths per 100.000 live births. Incidence of obstetric complications that are not done quickly and maternal determinants such as age, parity, pregnancy spacing and frequency of antenatal care are considered to be causes of the high maternal mortality rate. This study was conducted to determine the relationship between maternal determinants and the incidence of obstetric complications. This research is non-reactive with secondary data analysis. Subjects were selected by systematic random sampling and got 329 registered samples in Â maternal cohortÂ book of Puskesmas Arjowinangun Kota Malang. The proportion of obstetric complications at 30,92%. The multiple logistic regression showed there are effect of age (p=0,002; OR=5,117), distance of pregnancy (p=0,0001; OR=16,512) and frequency of antenatal care (p=0,0001; OR=8,283) toward the incidence of obstetric complications. There was no effect of parity toward obstetric complications (p=0,156). Too old and too young the motherâs age, close spacing pregnancies and frequencies of antenatal care are not appropriate with (Antenatal Care) ANCâs standart increasing the risk of maternal obstetric complications. This happens because the absence of health monitoring of the mother during pregnancy so that the emergency which may occur canât be minimized as early as possible. The conclusion that can be drawn is there is a relationship between the maternal determinants and obstetric complications. There is influence of age, pregnancy spacing and frequency of antenatal care toward the incidence of obstetric complications.Keywords: obstetric complications, age, parity, pregnancy spacing, antenatal careÂ Â Â

ABSTRACTControlchartisatoolforstabilityprocessmeasure.Efficientandreliablecontrolchartiscontrolchartwhich can detect mean and variants shift simultaneous. Process shift will be happened if the process out of control. Commonly control chart is Shewhart Control Chart which can use with normal distribution assumption in data. Neural network approximation is alternative for control chart methods. The superiority of Control Chart Neural Network can apply in normal or non-normal distribution data. This research was studied about neural network approximationincontrolchartforprocessshiftdetection. ARL (AverageRunLength)valueistoolforidentified efectivenessofcontrolchart.Thisresearchwasgeneratedexponentialdistributionwith9shifprocess.The ARL value can detect the shift under 6 point value. This indicate that Neural Network Control effectivefor detecting shift ini non-normal data distribution.Â Keywords: neural network control chart, average run length, non-normal

ABSTRACTWomen have important position in her family and community so increasing of reproductive health awareness should involve women. The purpose of this research was study the relation between women role to reproductive right in women of reproductive age in Surabaya. This research was categorized observational research with cross sectional design. It has observed in Kelurahan Gading Kecamatan Tambaksari Kota Surabaya. The sample size was 4 clusters/RT that number of choosed cluster was 148 women with cluster random sampling. Chi Square test with Î± = 0.1 showed that there were relation between women empowerment in reproductive right to women of reproductive age couples in Surabaya (p = 0.008). Chi Square test in women status of family and community showed there were relation between women education level and husband education level in reproductive right to women of reproductive age in Surabaya. It is necessary to increase women role in her reproductive right such as pregnancy determining, nutrient status improvement, health care access, health information or using of device/method in family planning. Increasing of women empowerment will make better quality of women and more contribute in her family or community so women can make the best decision for her pragnancy planning and her reproductive health. Goverment and related instances should give mother/women health intervention programs or safe motherhood efforts with comprehensive method in social, economic and culture aspect.Â Keyword: reproductive health, reproductive right, women empowerment

ABSTRACTThe use of longitudinal data of patients measured several periods of time with quantitative responses is common in medical research, such data are called repeated measurement ones. In those case, general linear mixed model (GLMM) is much more flexible to analyze those data. Dengue hemorrhagic fever (DHF) is one of health problems in tropical countries, including Indonesia. The main aim of this research was to model longitudinal data from platelets counts of DHF patients. This research was nonreactive or unobtrusive study by using medical records of DHF patients in Sidoarjo General Hospital from January until April 2013. There were 76 patients from DHF which were classified into grades 1, 2, and 3. Variables to analyzed were platelet count, grading the severity of DHF, and sex. The parameters of the model were estimated by maximum likelihood (ML) and restricted maximum likelihood (REML). The results showed that the platelets counts were influenced by grade DHF (p = 0.023), interaction of grade DHF with time measurement (p = 0.023) and interaction of grade DHF with sex (p = 0.001). Based on result it can be concluded, first, the mean platelet count for grade 1 DHF was 50.46 thousands/Î¼l greater than grade 3DHF. Second, the mean platelet count in 4th fever day was 18,75 thousands/Î¼l for grade 1 and 29.31 thousands/Î¼l for grade 3 DHF greater than 6th. The last, the mean platelet count for male in grade 1 DHF was 23.35 thousands/ Î¼l greater than female. Further research is needed to applied this methode in longitudinal experimental study.Â Keywords: general linear mixed model (GLMM), dengue haemorrhagic fever (DHF), platelet countÂ

ABSTRACTAccording to the MDGâs abortion in Indonesia in 2011 there was 1.043 per 100,000 live births. Toxoplasmosis is an infection in pregnancy, that bring about 9% of fetal deaths. The prevalence of Toxoplasma Gondii in Indonesia is 2â63, while that of Surabaya, East Java is 63%. This study aims to analyze the relationship between the incidence of abortion with toxoplasmosis and the risk factors for toxoplasmosis occurence. This study was conducted with observational analytic design, using Cross-Sectional research design. Interviews were conducted not only on 17 women with history of abortion, but also their blood sampling for anti toxoplasma IgG antibody test. The independent variable is (age, education level, parity, gestational age, symptoms of toxoplasmosis, toxoplasmosis antibodies history checks), contact with cats, stroking cats, eating undercooked meat, hand washing after cutting meat and after gardening, history of blood trasnfution. Data were analyzed by Chi-Square test and Spearmanâs Correlation with the value of Î± = 0.05. The relation between the frequency of abortion with anti toxoplasma IgG levels obtained significance of p = 0.786 > Î± = 0.05 showing no association between the frequency of abortion among the Respondents with the category of anti toxoplasma IgG levels. The relation between age of the Respondents with the category of anti toxoplasma IgG levels of significance is p = 0.038 < Î± = 0.05. There is a relation with the Respondents age incidence of toxoplasmosis. The relation between gestation age with anti toxoplasma IgG obtained significance of p = 0.048 < Î± = 0.05, we can conclude that there is relation between the gestational age with toxoplasmosis. The relation between gardening habits with anti toxoplasma IgG obtained significance of p = 0.011 < Î± = 0.05, we can conclude that there is relation between gardening habits with toxoplasmosis. The conclusion that can be drawn is the Respondents age, gestational age, gardening habits influence the occurrence of toxoplasmosis in women with a history of abortion.Â Keywords: abortion, toxoplasmosis, risk factors

ABSTRACTLife table can use to measure the chronicle disease patientâs live expectancy level. The research goal was to measure the stadium III cancer mamae patientâs live expectancy level who take medicine at the province hospital Dr. Soetomo Surabaya from Januari 2008 until Desember 2010. Research location was in the Oncologyâs Department at the province hospital Dr. Soetomo Surabaya. This research was retrospective cohort. The number of sampel in this research was 50 patient. Data was analyzed by descriptive statictics and life table. This research showed that all the Respondents were death. There were no patient drop out in this research. Descriptive median survival of patient was 74.56 weeks and cumulative probability was 0.4 at 72 weeks. In this case the Respondent had expectancy to survive 74.56 weeks again since the first day diagnostic of stadium III cancer mamae to take medicine at the Dr. Soetomo Surabaya hospital. Based on cumulative probability, 40.0% the Respondents had expectancy to live until 74.56 week since the first day they diagnostic of stadium III cancer mamae. To know about life expectancy level of patient in future, another research which have the same characteristics with this research are needed, because the result of this research with life table canât be compare.Â Keywords: life table, life expecrancy, ca mamae

ABSTRACTIn a dating relationship, teenagers are usually permissive to do a kind of relationship which leads to premarital sex behaviour. The same condition usually happen to those who were in engagement relationships. The risk of premarital sex behaviour was higher on teenagers who were in engagement relationship. This research aimed to analyze factors that influenced premarital sex behaviour of teenagers who were in engagement relationship in Kecamatan Kendit Kabupaten Situbondo. This research was observational with cross-sectional design. The sample of this research were 40 teenagers aged 13â15 years old who were in engagement relationship in Kecamatan Kendit Kabupaten Situbondo. The sampling technique used in this research was simple random sampling. The independent variables of this research were age, sex, parentsâ educational background, knowledge, attitude, information resources, parentsâ control, family background, and early age engagement in family tradition. Statistical analysis used in this research were chi square statistic (Ï2) and multiple logistic regression with significance level Î± = 0.05. The result showed that the significance value of parentsâ control was 0.001 (p < 0.05) and early age engagement in family tradition was p = 0.055 (p < 0.05). Parentsâ control and early age engagement in family tradition affect the premarital sex behaviour of teenagers who are in engagement relationship in Kecamatan Kendit KabupatenSitubondo.Â Keywords: teenagers, engagement, pre marital sex behaviour

ABSTRACTThis research is a cross sectional section research. This research was carried out in Islamic boarding school in Gresik. The objectives of this research are to know the reproductive health problems and to know how the students solve the problems. The quantitative approach uses interview which uses questionnaire. The qualitative approach uses in-depth interviews. This research applies inclusion criteria. The researcher uses 63 respondents who fulfill the criteria of this research from the total number of 127 students. In analyzing the data, the researcher uses Chi-square-test. The results of the research are there is a relation between the students knowledge about reproductive health, students experience about masturbate, the family support and the studentsâ problem solving of the reproductive health, the students do not masturbate if they do not have the knowledge, the students who do not have the knowledge of reproductive health will try to solve the problems, the supporting of family helps the students to solve the problems. The result of the qualitative study shows that almost of the students has tried to solve the problems although it is not suitable yet. It is caused by limitation of the students knowledge of reproductive health. The limitation of the information access and facilitator in the school causes the personal problem of female students. The solving which is done without the right reason and basic causes the suffering of students. It is needed the facilitators in order to solve the problem of reproductive health as the source of the problem solving.Â Keywords: reproductive health, reproductive health problem, adolescent students

ABSTRACTHealth status of child under 5 years was one of the main public health indicators in a country. Health status of child under 5 years was difficult to be directly measured, thus require indicators to describe. The indicators were direct, intermediate and underlying factor. Previous research showed Structural Equation Modeling (SEM) was helpful to examine the influence within indicator and got better model than other multivariate analysis. This Study was conducted to select the direct factor (ANC, INC and PNC) that influence health status of children under 5 years in Indonesia and mapping the nutrition significant indicators. This study was un-obstructive method, composed of4 latent variables and 22 indicators using SEM varians based (Partial Least Square). Secondary data were taken from the Riskesdas 2010 reports, by the sampel all provinces in Indonesia. Data were analyzed by R programs and Arch View GIS 3.3. There were 14 indicators significantly affect health status of children under 5 years, there were no first antenatal visits (K1), no antenatal visits four times (K4), not get FE 3 times (FE-3), examination of pregnancy to the traditional healer (ANC Dukun), not check for pregnancy, no antenatal visit to the professional health worker, not labor operations (SC), home deliveries, toddlers are not getting the vitamins A, toddler was not weighed, toddlers consume less calories, less protein consumption toddlers, infants of low birth weight and infants with malnutrition. It was suggested to improve health service focused on the significant indicators.Â Keyword: partial least square, the children under 5 years